Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy

A cost-effective analysis

James Kenneth Byrd, Shaun A. Nguyen, Amy Ketcham, Joshua Hornig, M. Boyd Gillespie, Eric Lentsch

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy. Study Design A cost-effectiveness study and chart review. Setting Academic university hospital. Subjects and Methods Pediatric and adult patients referred to the Department of Otolaryngology-Head and Neck Surgery for suspicious thyroid nodules, goiters, or known carcinomas. A tertiary care hospital's billing department was queried for all hemithyroidectomies and total thyroidectomies completed by the Department of Otolaryngology-Head and Neck Surgery between January 5, 2006, and November 1, 2007. The charges, including surgery, hospital, pathology, and anesthesia, for minimally invasive video-assisted thyroidectomy (MIVAT) and traditional or minimally invasive open thyroidectomies meeting MIVAT inclusion criteria were then reviewed retrospectively and compared statistically. Results A total of 185 thyroidectomies were performed, 50.3 percent of which met criteria for MIVAT. Length of stay (days) was significantly shorter for patients undergoing MIVAT hemithyroidectomy (mean difference -0.8; 95% confidence interval [95% CI] -1.08 to -0.52) and not significantly different between groups for total thyroidectomy (mean difference 0.1; 95% CI -0.36 to 0.56). Mean anesthesia cost (U.S.$) was similar between groups for hemi- and total thyroidectomies. MIVAT mean pathology cost was significantly less than open thyroidectomy for hemithyroidectomy (mean difference -89.9; 95% CI -179.01 to -0.79) and approached significance for total thyroidectomy. There was no significant difference in hospital cost and total cost for hemithyroidectomy and total thyroidectomy. Conclusion In a group of matched cohorts, the cost of MIVAT appears to be equal to that of open thyroidectomy.

Original languageEnglish (US)
Pages (from-to)789-794
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume143
Issue number6
DOIs
StatePublished - Dec 1 2010
Externally publishedYes

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Thyroidectomy
Costs and Cost Analysis
Otolaryngology
Confidence Intervals
Neck
Anesthesia
Head
Pathology
Thyroid Nodule
Hospital Costs
Hospital Departments
Goiter
Tertiary Healthcare
Tertiary Care Centers

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy : A cost-effective analysis. / Byrd, James Kenneth; Nguyen, Shaun A.; Ketcham, Amy; Hornig, Joshua; Gillespie, M. Boyd; Lentsch, Eric.

In: Otolaryngology - Head and Neck Surgery, Vol. 143, No. 6, 01.12.2010, p. 789-794.

Research output: Contribution to journalArticle

Byrd, James Kenneth ; Nguyen, Shaun A. ; Ketcham, Amy ; Hornig, Joshua ; Gillespie, M. Boyd ; Lentsch, Eric. / Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy : A cost-effective analysis. In: Otolaryngology - Head and Neck Surgery. 2010 ; Vol. 143, No. 6. pp. 789-794.
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abstract = "Objective To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy. Study Design A cost-effectiveness study and chart review. Setting Academic university hospital. Subjects and Methods Pediatric and adult patients referred to the Department of Otolaryngology-Head and Neck Surgery for suspicious thyroid nodules, goiters, or known carcinomas. A tertiary care hospital's billing department was queried for all hemithyroidectomies and total thyroidectomies completed by the Department of Otolaryngology-Head and Neck Surgery between January 5, 2006, and November 1, 2007. The charges, including surgery, hospital, pathology, and anesthesia, for minimally invasive video-assisted thyroidectomy (MIVAT) and traditional or minimally invasive open thyroidectomies meeting MIVAT inclusion criteria were then reviewed retrospectively and compared statistically. Results A total of 185 thyroidectomies were performed, 50.3 percent of which met criteria for MIVAT. Length of stay (days) was significantly shorter for patients undergoing MIVAT hemithyroidectomy (mean difference -0.8; 95{\%} confidence interval [95{\%} CI] -1.08 to -0.52) and not significantly different between groups for total thyroidectomy (mean difference 0.1; 95{\%} CI -0.36 to 0.56). Mean anesthesia cost (U.S.$) was similar between groups for hemi- and total thyroidectomies. MIVAT mean pathology cost was significantly less than open thyroidectomy for hemithyroidectomy (mean difference -89.9; 95{\%} CI -179.01 to -0.79) and approached significance for total thyroidectomy. There was no significant difference in hospital cost and total cost for hemithyroidectomy and total thyroidectomy. Conclusion In a group of matched cohorts, the cost of MIVAT appears to be equal to that of open thyroidectomy.",
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AB - Objective To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy. Study Design A cost-effectiveness study and chart review. Setting Academic university hospital. Subjects and Methods Pediatric and adult patients referred to the Department of Otolaryngology-Head and Neck Surgery for suspicious thyroid nodules, goiters, or known carcinomas. A tertiary care hospital's billing department was queried for all hemithyroidectomies and total thyroidectomies completed by the Department of Otolaryngology-Head and Neck Surgery between January 5, 2006, and November 1, 2007. The charges, including surgery, hospital, pathology, and anesthesia, for minimally invasive video-assisted thyroidectomy (MIVAT) and traditional or minimally invasive open thyroidectomies meeting MIVAT inclusion criteria were then reviewed retrospectively and compared statistically. Results A total of 185 thyroidectomies were performed, 50.3 percent of which met criteria for MIVAT. Length of stay (days) was significantly shorter for patients undergoing MIVAT hemithyroidectomy (mean difference -0.8; 95% confidence interval [95% CI] -1.08 to -0.52) and not significantly different between groups for total thyroidectomy (mean difference 0.1; 95% CI -0.36 to 0.56). Mean anesthesia cost (U.S.$) was similar between groups for hemi- and total thyroidectomies. MIVAT mean pathology cost was significantly less than open thyroidectomy for hemithyroidectomy (mean difference -89.9; 95% CI -179.01 to -0.79) and approached significance for total thyroidectomy. There was no significant difference in hospital cost and total cost for hemithyroidectomy and total thyroidectomy. Conclusion In a group of matched cohorts, the cost of MIVAT appears to be equal to that of open thyroidectomy.

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